Scientific article
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Herpes simplex encephalitis in adult patients with MASP-2 deficiency

Published inPLOS pathogens, vol. 15, no. 12, e1008168
Publication date2019-12
First online date2019-12-23
Abstract

We report here two cases of Herpes simplex virus encephalitis (HSE) in adult patients with very rare, previously uncharacterized, non synonymous heterozygous G634R and R203W substitution in mannan-binding lectin serine protease 2 (MASP2), a gene encoding a key protease of the lectin pathway of the complement system. None of the 2 patients had variants in genes involved in the TLR3-interferon signaling pathway. Both MASP2 variants induced functional defects in vitro, including a reduced (R203W) or abolished (G634R) protein secretion, a lost capability to cleave MASP-2 precursor into its active form (G634R) and an in vivo reduced antiviral activity (G634R). In a murine model of HSE, animals deficient in mannose binding lectins (MBL, the main pattern recognition molecule associated with MASP-2) had a decreased survival rate and an increased brain burden of HSV-1 compared to WT C57BL/6J mice. Altogether, these data suggest that MASP-2 deficiency can increase susceptibility to adult HSE.

Keywords
  • Adult
  • Animals
  • Encephalitis, Herpes Simplex / genetics
  • Encephalitis, Herpes Simplex / immunology
  • Encephalitis, Herpes Simplex / metabolism
  • Humans
  • Immunity, Innate / genetics
  • Lectins / genetics
  • Lectins / metabolism
  • Male
  • Mannose-Binding Lectin / metabolism
  • Mannose-Binding Protein-Associated Serine Proteases / deficiency
  • Mannose-Binding Protein-Associated Serine Proteases / genetics
  • Mannose-Binding Protein-Associated Serine Proteases / immunology
  • Mice, Inbred C57BL
  • Mice, Transgenic
Affiliation entities Not a UNIGE publication
Citation (ISO format)
BIBERT, Stéphanie et al. Herpes simplex encephalitis in adult patients with MASP-2 deficiency. In: PLOS pathogens, 2019, vol. 15, n° 12, p. e1008168. doi: 10.1371/journal.ppat.1008168
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Journal ISSN1553-7366
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